Медведєв Михайло ВолодимировичТестуванняIsoantigenic incompatibility of blood of mother and a fetus. Fetal distress. An asphyxia of the newborn. Septic diseases of newborns

Isoantigenic incompatibility of blood of mother and a fetus. Fetal distress. An asphyxia of the newborn. Septic diseases of newborns

Медведєв Михайло Володимирович // 15 Марта 2015

Вопросов в тесте: 15

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Isoantigenic incompatibility of blood of mother and a fetus. Fetal distress. An asphyxia of the newborn. Septic diseases of newborns

Indication for carrying out late replacement hemotransfusion to the newborn with hemolitic illness is:

вопрос 1 из 15 //

Варианты ответа:

  1. Low level of haemoglobin (150 g/l and less)
  2. The indirect bilirubin maintenance in umbilical cord blood – 68,4 micromol/l and more
  3. Indirect bilirubin 307 mkmol/l and more
  4. Presence or jaundice occurrence during the first hours of life
Isoantigenic incompatibility of blood of mother and a fetus. Fetal distress. An asphyxia of the newborn. Septic diseases of newborns

Two hours ago from the third 37 weeks pregnancy woman with blood group O (I) Rh (-) and presence of the antirhesus antibodies 1:64 delivered live boy weighting 3000,0 g, length 50 cm Apgar score 8/8 points. At examination of the child it is established: A(II)Rh(+), Hb-150 g/l, erythrocytes 4,7x1012, reticulocytes-10, leucocytes-10x109/l, bilirubin - 98 mkmol/l. The doctor decided to perform emergency replacement hemotransfusion. Which indicators helped to make the decision?

вопрос 2 из 15 //

Варианты ответа:

  1. Number of reticulocytes
  2. Number of erythrocytes
  3. Presence in mother’s blood AntiRh antibodies in titer 1:64
  4. Haemoglobin concentration
  5. Bilirubin in umbilical blood
Isoantigenic incompatibility of blood of mother and a fetus. Fetal distress. An asphyxia of the newborn. Septic diseases of newborns

Hemolitic disease of fetus and the newborn is caused by products of an intravascular hemolysis:

вопрос 3 из 15 //

Варианты ответа:

  1. High levels of urea
  2. Growth of levels of a creatinine
  3. Direct bilirubin
  4. Direct and an indirect bilirubin
  5. Indirect bilirubin
Isoantigenic incompatibility of blood of mother and a fetus. Fetal distress. An asphyxia of the newborn. Septic diseases of newborns

The newborn child born by C/section has signs of narcotic depression of breath (cyanotic skin, apnoe). Specify medication for the emergency help.

вопрос 4 из 15 //

Варианты ответа:

  1. Naloxone
  2. A sodium hydrocarbonate
  3. Adrenaline
  4. Albumin
  5. Calcium gluconate
Isoantigenic incompatibility of blood of mother and a fetus. Fetal distress. An asphyxia of the newborn. Septic diseases of newborns

During sonographic research it is possible to define:

вопрос 5 из 15 //

Варианты ответа:

  1. Developmental anomalies of a fetus
  2. IUGR
  3. All listed
  4. A premature placental abruption
  5. Placenta localisation, degree of its maturity
Isoantigenic incompatibility of blood of mother and a fetus. Fetal distress. An asphyxia of the newborn. Septic diseases of newborns

For replacement hemotransfusion to the newborn with hemolitic illness use:

вопрос 6 из 15 //

Варианты ответа:

  1. Rh-negative blood of the first group
  2. Same group Rh-positive blood
  3. Rh-positive blood of the first group
  4. Same group Rh-negative blood
  5. All listed
Isoantigenic incompatibility of blood of mother and a fetus. Fetal distress. An asphyxia of the newborn. Septic diseases of newborns

Bacterial vaginosis can lead to:

вопрос 7 из 15 //

Варианты ответа:

  1. Premature labor
  2. Congenital heart diseases
  3. Prenatal pneumonia
  4. Antenatal destruction of a fetus
  5. All listed
Isoantigenic incompatibility of blood of mother and a fetus. Fetal distress. An asphyxia of the newborn. Septic diseases of newborns

The newborn on the first day of a life had a yellowness of a skin, a sclera, mucosa. For the second day flabbiness, adynamia, hyporeflexia, hepatosplelnomegaly. The blood analysis: haemoglobin - 90 g/l, bilirubin - 348 mkmol/l. Specify the most expedient medical tactics.

вопрос 8 из 15 //

Варианты ответа:

  1. Pancreatinum
  2. Replacement hemotransfusion
  3. Phenobarbital
  4. Carbolenum
  5. Phototherapy
Isoantigenic incompatibility of blood of mother and a fetus. Fetal distress. An asphyxia of the newborn. Septic diseases of newborns

The clinical features of chorioamnionitis:

вопрос 9 из 15 //

Варианты ответа:

  1. Polyhydramnion
  2. Placental disfunction
  3. Pathological microorganisms in vagina
  4. All listed
  5. Threatened abortion
Isoantigenic incompatibility of blood of mother and a fetus. Fetal distress. An asphyxia of the newborn. Septic diseases of newborns

Antenatal diagnostics of fetal hemolitic disease caused by rhesus or ABO incompatibility is based on:

вопрос 10 из 15 //

Варианты ответа:

  1. Blood analysis of the foetus, received by cordocentesis
  2. Investigation of amniotic fluids received by transabdominal amniocentesis
  3. Cardiotocography
  4. Sonography
  5. All listed
Isoantigenic incompatibility of blood of mother and a fetus. Fetal distress. An asphyxia of the newborn. Septic diseases of newborns

Treatment of the respiratory distress syndrome includes

вопрос 11 из 15 //

Варианты ответа:

  1. Introduction of surfactant
  2. Introduction of steroids
  3. All listed
  4. Breath with positive pressure
  5. Inhalation of oxygen with inert gases
Isoantigenic incompatibility of blood of mother and a fetus. Fetal distress. An asphyxia of the newborn. Septic diseases of newborns

Indication to resuscitation of the newborn is:

вопрос 12 из 15 //

Варианты ответа:

  1. All listed
  2. Lowered extensibility of lungs
  3. Heart rate less than 100
  4. Apgar score below 3 points
  5. Absence of regular breath
Isoantigenic incompatibility of blood of mother and a fetus. Fetal distress. An asphyxia of the newborn. Septic diseases of newborns

Physiologic reaction of a fetus to movements in the first stage of labor during cardiotocography:

вопрос 13 из 15 //

Варианты ответа:

  1. Spontaneous decelerations
  2. Rising of basal heart rate
  3. Periodic decelerations
  4. Bradycardia
  5. Accelerations
Isoantigenic incompatibility of blood of mother and a fetus. Fetal distress. An asphyxia of the newborn. Septic diseases of newborns

Breath support consists of the following

вопрос 14 из 15 //

Варианты ответа:

  1. Cleaning of respiratory ways
  2. An intubation and apparatus breath with positive pressure
  3. Breath by means of a mask
  4. Administration of respiratory analeptics, steroids
  5. All listed
Isoantigenic incompatibility of blood of mother and a fetus. Fetal distress. An asphyxia of the newborn. Septic diseases of newborns

Resuscitation actions of the newborn include:

вопрос 15 из 15 //

Варианты ответа:

  1. Breath support
  2. Circulation support
  3. All listed
  4. Support of a temperature regimen
  5. Metabolism support